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7 <br />r <br />J <br />1 <br />~ <br />J Poatepo S <br /> <br /> <br />] CartlOed Fee <br />j Ratum Receipt Fee <br />] (Endaannant Required) <br /> <br />] Raslrlctetl oelkery Fee <br />] nt flequlredl <br />] etape AFaas <br />J <br />J Name (Plee <br />rlnr Clsarly <br />e P <br />1 <br /> A <br />Street, qpr. No.; er Pp Dtrj <br />ll <br />] ~ <br />^......... .... <br /> <br />7 <br />i <br />1 Pwlapa <br />J E <br />] <br />1 Cert10eO Fee <br />j Rehm Receipt Fae <br />] (Fiidornemant RequlrecQ <br />] Restricted DelNery Fee <br />] <br />(Endorsement Roqulre[Q <br />] Total Poata9e 6 Fora <br />J <br />~ Neme~aaa Pr/nr ~earl <br />~ <br />r <br />Clry, S4rI, LPe d <br />a1 <br />~- i <br />~~~ <br />r t <br />I\ <br />„~~ .1 ~ a <br />q3 PMOnarl~ . <br />`~ 2000 Hare /// <br />\(~ :: t' / <br />/.Y~j~~~~Y~m9 <br />ti~ _ ."_m~~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery Is desired. <br />^ Print your name and adtlress on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the (root if space permits. <br />1. ~yA~f}t°i~c/-)lyef~tA(tl^(dA,r~r/e./7sr/sed to: <br />(-- L ~~i .~ n n n <br />2. Article Num/ bar (Copy Irom service /ebeQ <br />fog 9 r 3~2 <br />PS Form 3811, July 1999 ~~ Domesti <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back o7 the mailpiece, <br />t or on the front if space permits. <br />t. Article Addressetl to: <br />t <br />10259599-M-t]a9 <br />A. Received by (Please Pnnt Clearly) B. Date of Delive <br />C. Sig lure <br />X ^ Agent <br />^ Addressee <br />D. Is elrv ed res9 GiHeren hum Item 17 ^ Yes <br />If YES, enter delivery address below: ^ No <br /> <br /> <br />(~~ ,,~ ./}~~ ~ ~ O _ <br />Jrir `~~"'~ <br />+~ ~ 1,a 5 3. ~~5,/eJryv_ice Type <br />~(;ertified Mail ^ EaPrass Mail <br />- <br />` ^ Registered ^ Return Receipt for Marchantlise <br /> O Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number (Copy Irom servlc labeq <br />~09~ 3~a~ cx~oi 5 b~3 iS~S <br />PS Forth 3811, July 1999 Domestic Return Receipt 102595-99-M-1]e9 <br />A. Received by (Please Pnnt Cleeny/ B. Date of Delivery <br />/-~-rd <br />C. Signature <br />~')/) / gent <br />X / //7 !A'1(Jll// / ^ Atldressea <br />D. Is delivery ~d/esa diRarent fmm item 17 ^ Yes <br />If YES. en r delivery address below: ^ No <br />3. Service Type <br />Certified Mail ^ Express Mail <br />^ Re9isteretl ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery ? (Extra Fee) Q yes <br />c Return Receipt <br />